MEDICARE: EQUITAS HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467150086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUITAS HEALTH, INC

Provider Business Mailing Address
First Line	:	1105 SCHROCK RD STE 400
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1174
Country	:	US
Telephone Number	:	833-378-4827
Fax Number	:	800-222-8164

Provider Business Practice Location Address
First Line	:	636 W EXCHANGE ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44302-1306
Country	:	US
Telephone Number	:	833-378-4827
Fax Number	:	800-222-8164

Authorized Official
Title or Position	:	DIRECTOR REVENUE CYCLE
Name	:	KAREN SHEPHERD
Credential	:
Telephone Number	:	833-378-4827

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	09/02/2025

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Directions to “EQUITAS HEALTH, INC ” Practice Location

Language	Start Address	Practice Location

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